autism & developmental disabilities monitoring network surveillance year 2002, 2006, 2008, &...

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2002 2006 2008 2010 0 10 20 30 40 50 60 70 80 47% 41% 38% 31% 53% 59% 62% 69% Impaired IC [IQ≤70] Percentage (%) Autism & Developmental Disabilities Monitoring Network Surveill Year 2002, 2006, 2008, & 20 Rising Prevalence of ASD in Intellectually Capable Populations Growing proportion of children with HF-ASD

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Page 1: Autism & Developmental Disabilities Monitoring Network Surveillance Year 2002, 2006, 2008, & 2010 Rising Prevalence of ASD in Intellectually Capable Populations

2002 2006 2008 20100

10

20

30

40

50

60

70

80

47%

41% 38%

31%

53%59%

62%

69%

Impaired IC [IQ≤70]

Intact IC [>70]

Perc

enta

ge (%

)

Autism & Developmental Disabilities Monitoring Network Surveillance Year 2002, 2006, 2008, & 2010

Ris ing Prevalence of ASD in Inte l lectual ly Capable Populat ions

Growing proportion of children with HF-ASD

Page 2: Autism & Developmental Disabilities Monitoring Network Surveillance Year 2002, 2006, 2008, & 2010 Rising Prevalence of ASD in Intellectually Capable Populations

Autism & Developmental Disabilities Monitoring Network Surveillance Year 2010

Diagnost ic Subtypes of ASD

Prevalence in Children 8 Years Old

44%

56%

Autistic Disorder [Narraw Phe-notype]

Higher proportion with Broader Phenotype of ASD

Page 3: Autism & Developmental Disabilities Monitoring Network Surveillance Year 2002, 2006, 2008, & 2010 Rising Prevalence of ASD in Intellectually Capable Populations

<3 years 3 - 5 years

6 - 8 years

≥9 years0

5

10

15

20

25

30

35

40

20%

36%

17%

27%

Age

at D

iagn

osis

(%)

Age at Diagnosis of ASD

By Age at Identification

Two-thirds of Broader Phenotype identified after age 5 years

Autism & Developmental Disabilities Monitoring Network Surveillance Year 2002, 2008, 2010;

Levy et al., 2010

✝80% more likely to have psychiatric

comorbidity compared to cases identified at earlier

ages (<9 years)

Autistic Dis-order

PDD-NOS Asperger's Disorder

0

1

2

3

4

5

6

7

8

44.5

6.25

Mea

n Ag

e at

Dia

gnos

is (y

ears

)

By ASD Diagnosis(In Children 8 years

Old)

Page 4: Autism & Developmental Disabilities Monitoring Network Surveillance Year 2002, 2006, 2008, & 2010 Rising Prevalence of ASD in Intellectually Capable Populations

Half of the psychiatric referrals to Bressler Program are between ages 8 & 17 years

Referral by Age (N=863)

Psychiatr ic Referra l toBress ler Program

for ASD

< 8 Yrs. 8 - 12 Yrs. 13 - 17 Yrs 18 - 24 Yrs. > 24 Yrs.0

5

10

15

20

25

30

35

40

3%

19%

31%

26%

20%

Refe

rrals

%

The Alan & Lorraine Bressler Program for Autism Spectrum Disorder

Page 5: Autism & Developmental Disabilities Monitoring Network Surveillance Year 2002, 2006, 2008, & 2010 Rising Prevalence of ASD in Intellectually Capable Populations

Significant ASD Traits

34% (N = 110)

Total N: 303Age Range: 4-18 years

IQ: Predominantly Intact

SRS Screen+ for ASD:(Raw score: >70; >65)♂ ♀

34% (N=110)

Attending Psychiatry Outpatient Clinic

Aut is t ic Tra i ts inPsych iatr ica l ly Referred Youth

One-third of youth screened positive for ASD

Clinical and Research Program in Pediatric Psychopharmacology